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General NPI Number Information
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NPI Number | 1376423996
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Entity Type | Individual
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Provider Name | DERICA NYAMEKE PMHNP
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Gender | Female
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 501 W 14TH ST FL 5
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-320-2620
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Fax | 302-320-2683
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Provider Business Mailing Address
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Address Line | 501 W 14TH ST FL 5
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-320-2620
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Fax | 302-320-2683
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | L1-0068181
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | L8-0010906
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | L8-0010906
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License Number State | DE
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